Resume:

Solutions-driven business/systems analyst able to define business needs and translate them into system requirements. Successful hands-on leader of cross-functional teams responsible for the design, development, documentation and implementation of large-scale corporate projects to meet state and federal healthcare regulatory requirements.

Skills

Requirements Definition

User Acceptance Testing

Project Management

Enterprise Implementations

Data Mining & Analytics

Vendor Management

Healthcare Claims Processing

Technical Liaison Between Business Units and IT

Healthcare Carrier Regulations Compliance

Systems Development Life Cycle (SDLC)

Extensive knowledge of BCBSM and NASCO systems

Systems/Technical

NASCO Claims Processing System

WebEx

MS Word

MS Excel

Visio

MS Power Point

IBM Rational ClearQuest

MS SharePoint

Compuware File Aid

IBM TSO

SQL Queries

Professional Experience

Blue Cross Blue Shield of Michigan, Detroit, Mi Oct 1975 – Mar 2016

During my tenure at the Blues, I was consistently promoted to positions of increasing responsibility based on my ability to exceed performance expectations.

As Test Lead, directly interfaced with multiple business teams and IT teams (local and NASCO) to ensure technical solutions were accurately tested (pre and post implementation). Projects were required for compliance with federal and state healthcare mandates (ACA, Mandated Coverage for Autism, etc.). Each had the potential for substantial financial penalties for improper or late implementation. No fines were incurred.

Function as Business/System Analyst to implement corporate project work requiring changes to the Professional Claims system following the established SDLC process. Worked with one or more developers to design, code, test, and deploy these changes.

Executed the entire SDLC process for all projects.

Interfaced with the business client to gather and document functional requirements for the project.

Documented analysis creating Use Cases.

Worked with developers to create technical design.

Created and executed test cases and presented testing results to client for approval prior to moving to production.

Tacked and resolved all defects that occurred in testing or during post imp.

Tools utilized; Word, Excel, Power Point, File Aid.

Awards and Recognition

During my tenure at the Blues, I received a number of awards including:

Several PIE (Pride in Excellence) Awards in recognition of outstanding performance.

Received a Semiannual PIE award.

Team recognition reward.

Education

Pursuing a degree in Information Technology at Macomb Community College

Additional Training and Certifications

Certificates earned from course Excel to MySQL: Analytic Techniques for Business through Coursera

Business Metrics for Data-Driven Companies by Duke University - 2/20/2017

Mastering Data Analysis in Excel by Duke University – 4/3/2017

Managing Big Data with MySQL by Duke University – 7/2/17

During my tenure at the Blues, I participated in a number of training courses, including: